Approval and Guidelines for Internships
ECpE Student Services Office  2205 Coover Hall  Iowa State University  Ames, Iowa
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Internship positions equal any work related to a student’s major area of study for one summer, one
semester, or one summer plus one semester.
You will need to complete an add/drop slip to register for either EE 697 or CprE 697. Signature
approval on the form includes your major professor and ECpE Student Services Manager.
You may not hold an assistantship for longer than five days into the term that you will be gone on
internship.
While away from campus, please make arrangements for someone to pick up your mail at your
Coover mailbox. First class mail can be forwarded to you upon your request. Please notify the
Graduate Secretary if you would like first class mail forwarded.
Check here if international student and you have met with an International Students and Scholars
(ISS) counselor regarding curricular practical training (CPT). If extending your internship, you must
discuss ramifications with ISSO before completing this form. Please note CPT/OPT regulations at
http://www.iastate.edu/~internat_info/forms/visa/CPTFVH.doc
In addition to ISSO regulations, you will have the premium for medical insurance automatically
assessed to your account unless you provide proof that you have coverage with your employer. Read
the guidelines and complete the waiver at this site
http://www.hrs.iastate.edu/sship/homepage.html
Name
Email
Last
Degree Sought
First
Middle
MS with thesis
MS without thesis
Ph.D.
Please check if you have passed the
Preliminary Oral Examination.*
Projected Graduation Date
(semester)
(year)
Company Name
Company Address
Work Start Date
End Date
Please check if these dates overlap with an assistantship.
SIGNATURES
Student
Date
Major Professor
Date
Typed and signed
Department Response
Date
Copy of ISS CPT form for file
* After the preliminary oral examination is passed (with either full or conditional pass) and if university
facilities, equipment, and staff time are not used, the Ph.D. candidate may register for GR ST 680
Doctoral Post Prelim (Continuous Registration) and pay the Doctoral Post Prelim (Continuous
Registration) fee (approximately $70).